Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidLinda D'andrea
    Ask Trek AI about this page

    Linda D'andrea — Billing Profile & Reimbursement Data

    NPI 1831167477 · Pottstown, PA · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for Linda D'andrea — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Linda D'andrea is a orthopaedic surgery physician provider located in Pottstown, Pennsylvania. This profile covers 17 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLinda D'andrea
    Address1561 Medical Dr.
    CityPottstown
    StatePA
    ZIP19464
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMarch 9, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$54.5K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…150$100$14.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…170$70$11K
    J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose20$410$6.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$110$5K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…40$90$3.7K
    72114In this diagnostic service, the provider performs a complete radiological study of the lumbar spine. He performs a minimum of six views that include the bending views of the spine.50$50$2.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…50$40$2.3K
    72050In this diagnostic procedure, the provider performs four to five X–ray views of the cervical spine. The provider performs this cervical radiological study to examine the spine for conditions…30$40$1.5K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…20$80$1.2K
    72170In this procedure, the provider takes one or two X–ray images of the pelvic bone to check for any fracture, swelling, or reason of pain in the pelvis.50$20$1.1K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J73269611030$400$21K
    992148,91223,230100$80$14.5K
    992135,11522,37070$60$7.7K
    206101,6951,98060$50$6.7K
    2709622125030$100$4.4K
    992222,1887,85030$100$4.3K
    992032,6117,33030$70$3.5K
    992121,4324,72030$40$2.3K
    735649171,07050$20$1.6K
    992027561,04020$50$1.5K

    Showing 1–10 of 17

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Linda D'andrea, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Premier Orthopaedic And Sports Medicine Associates, LtdPAOrthopaedic Surgery Physician$0$7.1M
    Jennifer Kwan-morleyPARheumatology Physician$2.5M$0
    Michael ShriverOHDiagnostic Radiology Physician$1.1M$0
    Stephanie MorrisPARheumatology Physician$742.6K$0
    Stephen PomeranzOHDiagnostic Radiology Physician$642.3K$0
    Cheston SimmonsPAOrthopaedic Surgery Physician$570.3K$0
    Nikos PavlidesPAOrthopaedic Surgery Physician$448.3K$0
    Larry ChouPAPhysical Medicine & Rehabilitation Physician$444.8K$0
    Andrew OldPAOrthopaedic Surgery Physician$420.7K$0
    Kevin WalshPASports Medicine (Family Medicine) Physician$336.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Linda D'andrea, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Creative Health Services IncPAMental Health Clinic/Center (Including Community Mental Health Center)$0$23.4M
    Pottstown Hospital, LLCPAGeneral Acute Care Hospital$0$7.5M
    Penn Foundation IncPACommunity/Behavioral Health Agency$0$5.6M
    Goodwill Steam Fire Engine Co - 1PAAmbulance$700.4K$2.2M
    An PhamPAPulmonary Disease Physician$1.3M$26K
    Michael LamboPARadiation Oncology Physician$1.1M$0
    Scot ParisPASurgery Physician$1M$0
    Pottstown Ambulatory Center, LLCPAAmbulatory Surgical Clinic/Center$435.2K$0
    Navneet SharmaPAInternal Medicine Physician$384.5K$0
    John LouisPAPlastic and Reconstructive Surgery Physician$351.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Linda D'andrea — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania